| NPI | 1780610576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE GILBERT Board Member 419-429-0409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OH 0591AS) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2012-01-30 |